Form Gj1000 - Application For Sales Tax License - City Of Grand Junction Financial Operations (Sales Tax), Affidavit Of Lawful Presence - 2013
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1
2APPLICATION FOR SALES TAX LICENSE
CITY OF GRAND JUNCTION FINANCIAL OPERATIONS (SALES TAX)
250 NORTH FIFTH STREET, GRAND JUNCTION, COLORADO 81501 (970) 244-1521
A $10 NON-REFUNDABLE APPLICATION FEE MUST BE PAID WITH THE APPLICATION
NOTE: application for License will be rejected unless all questions are fully answered.
1. BUSINESS OWNER_______________________________________________________________________
2. TRADE NAME/DOING BUSINESS AS (DBA)___________________________________________________
3. BUSINESS LOCATION_____________________________________________________________________
Street Address
City
State
Zip
4. MAILING ADDRESS_______________________________________________________________________
P.O. Box or Street Address
City
State
Zip
5. Business Location PHONE_____________________ Accounting PHONE_____________________________
6. FEDERAL ID #____________________________
OR SOC. SEC. #______________________________
7. STATE OF COLORADO SALES TAX ACCOUNT NUMBER________________________________________
8. Indicate type of ownership:
What do you sell?
INDIVIDUAL______ PARTNERSHIP_____ CORPORATION_____OTHER_____
9. A. STARTING DATE OF RETAIL SALES IN GRAND JUNCTION:________________________________________
B. HAVE YOU HAD PREVIOUS CITY TAXABLE SALES:
YES
NO
C. HAVE ALL OUTSTANDING TAXES BEEN FILED AND PAID:
YES
NO
D. CIRCLE: HOME BUSINESS
STORE FRONT IN GJ
OUT OF CITY
FARMER'S MARKET
10. HOW MANY LOCATIONS WILL YOU HAVE IN THE CITY OF GRAND JUNCTION?____________________
Separate Applications May be Required for Multiple Locations.
11. LIST ANY SALES TAX LICENSES HELD WITH THE CITY OF GRAND JUNCTION CURRENTLY AND
IN THE LAST THREE YEARS_______________________________________________________________
12. ESTIMATE YOUR MONTHLY AMOUNT OF CITY TAXABLE SALES $_____________________________
*Please Note: If you are a Sole Proprietor it is required by law that you provide a signed Affidavit of
Lawful Presence, along with one of the forms of identification listed on the form.*
NAME (please print)_______________________________________ TITLE_______________________________
SIGNATURE____________________________________________DATE_______________________________
IF YOUR BUSINESS IS LOCATED INSIDE CITY LIMITS YOU WILL NEED TO
SUBMIT AN INITIAL USE TAX RETURN IN ADDITION TO YOUR APPLICATION
***************************OFFICIAL USE ONLY*******************************
FILING STATUS: MONTHLY_____ QUARTERLY_____ ANNUAL_____
INITIAL USE
YES _____
NO ______
WHY___________________________________
APPROVAL>>> PLANNING:________________ FINANCE:___________________
REC/DATE
REC/BTCH#
SYSTEM INPUT
_________________ __________________
BOOKLET ISSUED
MO QTR ANNL
LICENSE MAILED
ACCOUNT NUMBER____________________________
FORM #GJ1000 (04/11/13)
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Parent category: Financial